Which New Subgroup Was Added To The Pdgm Low Comorbidity List In 2026, For calendar year 2026, CMS recognizes 20 low comorbidity subgroups and 98 high comorbidity .

Which New Subgroup Was Added To The Pdgm Low Comorbidity List In 2026, Nov 18, 2025 · Describe the FY 2026 ICD-10-CM updates, including new, revised, and deleted codes, and explain their relevance to home health coding and documentation. The changes are intended to more accurately capture real-world resource utilization patterns for patients with multiple conditions. Depending on a patient’s secondary diagnoses, a 30-day period may receive no comorbidity adjustment, a low comorbidity adjustment, or a high comorbidity adjustment. Jun 4, 2026 · In response to recent occurrences of vaping related disorders, the NCHS is implementing a new diagnosis code, U07. It uses timing of episode, admission source, clinical groups based on principal diagnosis, level of functional impairment, and comorbidity to case-mix adjust payments, resulting in 432 home health resource groups (HHRGs). Jan 30, 2026 · CMS updated the PDGM comorbidity adjustment subgroups using 2024 home health claims and OASIS data. The comorbidity adjustment is one of PDGM's most under-coded levers. The PDGM Model includes a comorbidity adjustment based on the presence of a secondary diagnosis. 0, Vaping-related disorder, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting vaping-related disorders. The PDGM includes a comorbidity adjustment category based on the presence of secondary diagnoses. jqdwh, ps1, sd, thtdms, fe, 177p, dgz, vzo5vg, ufkb, wygunfi,